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Organization
RESHAPED PLLC
Active
Organization
RESHAPED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARLENE KARMINI SELVARATNAM MD (MEDICAL DIRECTOR)
(469) 431-0544
Entity
Organization
Contact information
Practice address
2008 E HEBRON PKWY #114, CARROLLTON, TX 75007
(469) 431-0544
Mailing address
2008 E HEBRON PKWY STE 114, CARROLLTON, TX 75007-1601
(469) 431-0544
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
Q7467
TX
Other
Enumeration date
09/01/2018
Last updated
06/29/2024
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